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Leadership development in the English National Health Service : a counter narrative to inform policy

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Hewison, Alistair and Morrell, Kevin (2014) Leadership development in the English National Health Service : a counter narrative to inform policy. International Journal of Nursing Studies, 51 (4). pp. 677-688. doi:10.1016/j.ijnurstu.2013.08.004

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Official URL: http://dx.doi.org/10.1016/j.ijnurstu.2013.08.004

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Abstract

Objectives:
To examine the current approach to leadership development in the English National Health Service (NHS) and consider its implications for nursing.

To stimulate debate about the nature of leadership development in a range of health care settings.

Background:
Good leadership is central to the provision of high quality nursing care. This has focussed attention on the leadership development of nurses and other health care staff. It has been a key policy concern in the English NHS of late and fostered the growth of leadership development programmes founded on competency based approaches.

Design:
This is a policy review informed by the concept of episteme.

Data sources:
Relevant policy documents and related literature.

Review methods:
Using Foucault's concept of episteme, leadership development policy is examined in context and a ‘counter narrative’ developed to demonstrate that current approaches are rooted in competency based accounts which constitute a limited, yet dominant narrative.

Conclusion:
Leadership takes many forms and varies hugely according to task and context. Acknowledging this in the form of a counter narrative offers a contribution to more constructive policy development in the English NHS and more widely. A more nuanced debate about leadership development and greater diversity in the provision of development programmes and activities is required. Leadership development has been advocated as being crucial to the advancement of nursing. Detailed analysis of its nature and function is essential if it is to meet the needs of nurse leaders.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School > Strategy & International Business
Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: International Journal of Nursing Studies
Publisher: Pergamon-Elsevier Science Ltd.
ISSN: 0020-7489
Official Date: April 2014
Dates:
DateEvent
April 2014Published
10 September 2013Available
16 August 2013Accepted
17 April 2012Submitted
Volume: 51
Number: 4
Page Range: pp. 677-688
DOI: 10.1016/j.ijnurstu.2013.08.004
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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